Self
Self is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bronx, New York. Licensed in New York. Registered with an NPI since 2010.
- Licensed in
- NY
- In the registry since
- 2010
Practice location Address checks out
1965 Lafayette Ave Apt 1GBronx, NY 10473-2502
Phone: (718) 824-0605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 273750-1 (NY) |
|---|
Record details
| NPI number | 1649599135 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gloria Martin — Lpn · (347) 853-2849 |
| NPI enumerated | May 23, 2010 |
| Last updated in NPPES | May 23, 2010 |
| Mailing address | 1965 Lafayette Ave, Apt. 1g, Bronx, NY 10473-2502 |
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